ABSTRACT

Background:

The most rectovaginal fistulas (RVF) are acquired. Although a Bartholin’s gland abscess isn’t unusual in women in reproductive age, RVF is a rare complication.

Case:

We present a patient with a low RVF. She had a previous history of four episodes of Bartholin’s gland abscess. She was undergone LIFT surgery. Two weeks later she had a new Bartholin’s gland abscess and three weeks after was diagnosed another RVF secondary to Bartholin’s gland abscess. Surgical approached with LIFT surgery was performed and complemented with Martius graft.

Conclusion:

We reported rare case of rectovaginal fistula secondary a Bartholin’s gland abscess and treated with Martius graft. With this case the authors highlight the im-portance of multidisciplinary approach and the relevance of interpositional graft techniques.